Clinic
Medstop One INC
Medstop One INC was paid $729K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoMEDSTOP ONE INC
CAPE GIRARDEAU, MO 63703
CAPE GIRARDEAU, MO 63703
33aNPI1417959149assigned 08/12/2005
33bProvider typeClinic/Center
28Total paid$729K
24GClaims13,472
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in Missouri
Rank by total paid#18 of 77
Median peer was paid$48K
This provider vs. median15×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,797 | $150K | |
| 2019 | 2,224 | $128K | |
| 2020 | 2,202 | $106K | |
| 2021 | 1,818 | $80K | |
| 2022 | 1,753 | $96K | |
| 2023 | 1,717 | $103K | |
| 2024incomplete | 961 | $66K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 95% | 10,237 | 7,656 | $694K |
| 87428 | 1.5% | 231 | 222 | $11K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 1,975 | 1,482 | $9K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 422 | 413 | $6K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 282 | 233 | $6K |
| 80305 | <1% | 311 | 296 | $3K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 14 | 14 | $330.72 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCANTRELL, DAVID (BUSINESS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Hca Health Services of Tennessee, INC. | Hermitage, TN | $22.11M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.